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	<title>发起融资申请</title>
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					中国飞龙网
					<span>企业供应链融资平台</span>
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						<span>空蔚蓝色的天空空蔚蓝色的天空</span>
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					<p class='company_name'>江苏熊猫电子集团有限公司</p>
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						<p class='phone'>18952896548</p>
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						<a href="" class='set_name'>设置</a>
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						首页
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						核心企业
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								融资审批
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		<!-- 右侧 main start-->
		<div class="main fr sm_xs_table finance_applyInfo">
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						<p class='current'><a href="">融资申请</a></p>
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			<!-- main_con start -->
			<div class='main_con mt20 js_main'>
				<div class="finance_box">
				<div class="finance_tips step_block st5">
							<div class="steps fn-clear">
								<div class='fn-clear step_box current step1'>
									<p class='fn-clear'>
										<i>1</i>
										<span class='line'></span>
									</p>
									<span class='step_tips'>
										供应商发起申请
									</span>
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								<div class='fn-clear step_box step2'>
									<p class='fn-clear'>
										<i>2</i>
										<span class='line'></span>
									</p>
									<span class='step_tips'>
								核心企业资格审核
							</span>
								</div>
								<div class='fn-clear step_box step3'>
									<p class='fn-clear'>
										<i>3</i>
										<span class='line'></span>
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									<span class='step_tips'>
								供应商审核
							</span>
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								<div class='fn-clear step_box step4'>
									<p class='fn-clear'>
										<i>4</i>
										<span class='line'></span>
									</p>
									<span class='step_tips'>
								银行评级
							</span>
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								<div class='fn-clear last_step step_box step5'>
									<p class='fn-clear'>
										<i>5</i>
									</p>
									<span class='step_tips'>
								供应商线下开户
							</span>
								</div>
							</div>
						</div>
				<form id='finance_applyInfo' class='finance_apply formsub' name='finance_applyInfo' method="post">
                <table class='table_box finance_a_t td_left'>
                    <tr>
                        <th>企业名称：</th>
                        <td>
                                <!-- <p>请选择融资核心企业</p> -->
                            <div class="l_b fn-clear"> 
                                <input type="text" name='customer_name' id='customer_name'  placeholder='请输入企业名称' >
                            </div>
                        </td>
                        <th>注册地址：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='register_address' id='register_address' placeholder='请输入注册地址'>
                            </div>
                        </td>
                    </tr>
                    <tr>
                        <th>法定代表人：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='representative' id='representative' placeholder='请输入法定代表人' >
                            </div>

                        </td>
                        <th>注册资本（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='register_capital' id='register_capital' placeholder='请输入注册资本（元）' >
                            </div>
                        </td>
                    </tr>
                    <tr>
                        <th>工商注册时间：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='cust_register_date' class='date_select' readonly id='cust_register_date' placeholder='请输入工商注册时间' >
                            </div>

                        </td>
                        <th>组织机构代码：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='orgn_num' maxlength="10" id='orgn_num' placeholder='请输入组织机构代码'>
                            </div>


                        </td>
                    </tr>

                    <tr>
                        <th>企业实际地区：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='enterprise_area' id='enterprise_area' placeholder='请输入企业实际地区' >
                            </div>

                        </td>
                        <th>员工人数：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='staff_num' id='staff_num' placeholder='请输入员工人数' >
                            </div>


                        </td>
                    </tr>


                    <tr>
                        <th>上年度销售收入（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='xssr_snd' id='xssr_snd' placeholder='请输入上年度销售收入（元）'  />
                            </div>

                        </td>
                        <th>前年销售收入（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='xssr_qnd' id='xssr_qnd' placeholder='请输入前年销售收入' value="" >
                            </div>
                        </td>
                    </tr>

                    <tr>
                        <th>截至上年底企业总资产（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='zzc_snd' id='zzc_snd' placeholder='请输入截至上年底企业总资产（元）'  >
                            </div>

                        </td>
                        <th>截至上年底企业总负债（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='zfz_snd' id='zfz_snd' placeholder='请输入截至上年底企业总负债（元）'>
                            </div>


                        </td>
                    </tr>

                    <tr>
                        <th>企业是否有贷款卡：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <select name="dkk_ind" id='dkk_ind'>
                                    <option value="1">是</option>
                                    <option value="0">否</option>
                                </select>
                            </div>

                        </td>
                        <th>贷款卡卡号：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='dkk_kh' id='dkk_kh' placeholder='贷款卡卡号' >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>是否在建行有贷款余额：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <select name="jhdkye_ind" id='jhdkye_ind'>
                                    <option value="1">是</option>
                                    <option value="0">否</option>
                                </select>
                            </div>

                        </td>
                        <th>贷款余额：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='jhdkye' id='jhdkye' placeholder='贷款余额' value="" >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>申请人姓名：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='applicant_name' id='applicant_name' placeholder='请输入申请人姓名' value=""  >
                            </div>

                        </td>
                        <th>申请人手机：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='applicant_phone' id='applicant_phone' placeholder='请输入申请人手机' value="">
                            </div>
                        </td>
                    </tr>

                    <tr>
                        <th>申请人固定电话：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='applicant_fix_phone' id='applicant_fix_phone' placeholder='请输入申请人固定电话' value="" >
                            </div>

                        </td>
                        <th>企业主姓名：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='qyz_name' id='qyz_name' placeholder='请输入企业主姓名' value="" >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>企业主身份证号码：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='qyz_sfzhm' id='qyz_sfzhm' placeholder='请输入企业主身份证号码' value="" >
                            </div>

                        </td>
                        <th>开户行机构代码：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='khh_ecl_org_code' id='khh_ecl_org_code' placeholder='请输入开户行机构代码' value="" >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>上年度销售成本（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='xscb_snd' id='xscb_snd' placeholder='请输入上年度销售成本' value="" >
                            </div>

                        </td>
                        <th>申请人传真：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='applicant_fax' id='applicant_fax' placeholder='请输入申请人传真' value="" >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>申请人电子邮件：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='applicant_email' id='applicant_email' placeholder='请输入申请人电子邮件' value="">
                            </div>

                        </td>
                        <th>申请贷款额度（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='apply_amt' id='apply_amt' placeholder='请输入申请贷款额度' value="" >
                            </div>
                        </td>
                    </tr>


                    <tr>
                        <th>企业类型：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <select name="enterprise_type" id='enterprise_type'>
                                    <option value="01">外资企业</option>
                                    <option value="02">中外合资经营企业</option>
                                    <option value="03">私营独资企业</option>
                                    <option value="04">国有企业</option>
                                    <option value="05">政府机构</option>
                                    <option value="06">非盈利组织</option>
                                    <option value="07">其他</option>
                                    <option value="08">私营合伙企业</option>
                                    <option value="09">私营有限责任公司</option>
                                    <option value="10">私营股份有限公司</option>
                                    <option value="11">集体企业</option>
                                    <option value="12">股份合作企业</option>
                                    <option value="13">联营企业</option>
                                    <option value="14">有限责任公司(国有独资)</option>
                                    <option value="15">其他有限责任公司</option>
                                    <option value="16">股份有限公司</option>
                                    <option value="17">其他内资企业</option>
                                    <option value="18">合资经营企业(港或澳、台资)</option>
                                    <option value="19">合作经营企业(港或澳、台资)</option>
                                    <option value="20">港、澳、台商独资经营企业</option>
                                    <option value="22">港、澳、台商投资股份有限公司</option>
                                    <option value="23">中外合作经营企业</option>
                                    <option value="24">外商投资股份有限公司</option>
                                    <option value="25">个体经营</option>
                                    <option value="26">三来一补</option>
                                    <option value="27">法人分支机构</option>
                                    <option value="28">一人有限责任公司</option>
                                    <option value="29">独资有限公司</option>
                                    <option value="30">有限责任公司</option>

                                </select>
                            </div>

                        </td>
                        <th>所属行业（元）：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <select name="belong_industry" id='belong_industry'>
                                    <option value="001">
                                        贸易类
                                    </option>
                                    <option value="002">
                                        非贸易类
                                    </option>
                                </select>
                            </div>
                        </td>
                    </tr>
                    <tr>
                        <th>在其他银行已取得的授信额度：</th>
                        <td>
                            <div class="l_b fn-clear"> 
                                <input type="text" name='other_bank_limit' id='other_bank_limit' placeholder='请输入在其他银行已取得的授信额度' value="" >
                            </div>

                        </td>

                    </tr>
                </table>
                <div class="btn_box single">
                    <input type="submit" value='发起融资申请' class='blue_btn blue_img'>
                    
                </div>
            </form>
				</div>
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